Organization
ADVANCE PSYCHIATRY & COUNSELING, SC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AQEEL A. KHAN MD (PRESIDENT)
(630) 924-1160
Entity
Organization
Contact information
Practice address
1 TIFFANY PT STE 206, BLOOMINGDALE, IL 60108-2916
(630) 924-1160
(630) 924-1192
Mailing address
1 TIFFANY PT STE 206, BLOOMINGDALE, IL 60108-2916
(630) 924-1160
(630) 924-1162
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036111021
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214658
MEDICARE PROVIDER #
IL
01
—
214674
MEDICARE PROVIDER #
IL
01
—
214675
MEDICARE PROVIDER #
IL
Enumeration date
09/27/2006
Last updated
12/05/2024
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